Active NPIIndividual providerSole proprietor

Justin O Wong, OD

Optometrist in Somerset, New Jersey

NPI Number1346390614
Practice location
37 Clyde RD Ste 104, Somerset, NJ 08873-5034
Fax
—
Last updated
January 15, 2020

Justin Onshek Wong is an Optometrist based in Somerset, NJ. Justin Onshek Wong practices in Somerset, NJ and has the professional credentials of OD. The NPI Number for Justin Onshek Wong is 1346390614 and holds a License No. T6263 (NY). The current practice location address for Justin Onshek Wong is 37 Clyde RD Ste 104, Somerset, NJ 08873-5034 and can be reached out via phone at 732-828-3040.

Provider Profile Details

NPI Number
1346390614
Provider Name
Justin Onshek Wong
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
37 Clyde RD Ste 104, Somerset, NJ 08873-5034
Phone Number
732-828-3040
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2007
Last Update Date
January 15, 2020
Certification Date
January 15, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 Clyde RD Ste 104
Somerset, NJ 08873-5034
Zip
08873-5034
Phone Number
732-828-3040
Somerset, NJ 08873Get directions →

Provider Business Mailing Address Details

Address
53 Jeffrey Cir
Dayton, NJ 08810-1431
City
Dayton
State
NJ
Zip
08810-1431
Phone Number
732-619-3312

License Information

License Number (1)
T6263
License State (1)
NY
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
27OA00607500
License State (2)
NJ
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Justin O Wong, OD?

The NPI number of Justin O Wong, OD is 1346390614. It was assigned on January 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Justin O Wong, OD?

Justin O Wong, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number T6263.

Where does Justin O Wong, OD practice?

The practice location is 37 Clyde RD Ste 104, Somerset, NJ 08873-5034. The office can be reached at 732-828-3040 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346390614 directly on the NPPES registry website.

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